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STEPHANIE ALEXIS PETERSON RD LD NPI 1669139655


NPI Information

NPI: 1669139655
Provider Name: STEPHANIE ALEXIS PETERSON, RD, LD
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
905 VERDAE BLVD STE 202
GREENVILLE, SC
ZIP 29607
Phone: (864) 522-2100
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Stephanie Alexis Peterson, RD, LD is a dietitian registered in Greenville, SC. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Stephanie Alexis Peterson, RD, LD NPI is 1669139655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

905 VERDAE BLVD STE 202
GREENVILLE, SC
ZIP 29607-098
Phone: (864) 522-2100

The enumeration date for this NPI number is 11/24/2021 and was last updated on 11/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered2155SOUTH CAROLINANo
2133V00000XDietitian, Registered86172573WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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